Individual provider Active NPI

Paula Ann Spinks, PA-C

  • Medical Physician Assistant
  • Rochester Hills, MI
National Provider Identifier
1871875476
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601002638 Issued in MI
Practice address
1701 South Blvd E
Suite 300
Rochester Hills, MI 48307-6122
Phone
(248) 844-9710
Fax
(248) 844-9784
NPI assigned
Sep 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601002638 MI Primary

Addresses

Primary practice location

1701 South Blvd E
Suite 300
Rochester Hills, MI 48307-6122

Mailing address

3360 Bonniebrook CT
Oakland Township, MI 48306-1466
Phone (248) 276-1186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120917000081 MI Practitioner - Physician Assistant 1153579198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Troy Gastroenterology PCGroup PAC ID 9739143991, 47 clinicians

Practice addresses (Care Compare)

1701 S Blvd E
Suite 300
Rochester Hills, MI 48307-6120
Phone (248) 844-9710

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601002638MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Gastroenterology, PC CurrentSince Aug 5, 2012 Accepting new patients
Troy Gastroenterology, PC Current Accepting new patients

Locations

48801 Romeo Plank Rd
Ste 105
Macomb, MI 48044
Phone (586) 226-2722

1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710

50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423

4600 Investment Dr
Ste 380
Troy, MI 48098
Phone (248) 267-5025

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1871875476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 BONNIEBROOK CT",
            "city": "OAKLAND TOWNSHIP",
            "state": "MI",
            "postal_code": "483061466",
            "telephone_number": "248-276-1186",
            "fax_number": "248-844-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E",
            "address_2": "SUITE 300",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076122",
            "telephone_number": "248-844-9710",
            "fax_number": "248-844-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINKS",
        "first_name": "PAULA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.